Individual provider Active NPI

Eydie Diane Aragon, M.S., LMFT

  • Marriage & Family Therapist
  • Clackamas, OR
National Provider Identifier
1720117211
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
40267 Issued in CA
Practice address
9123 SE Saint Helens St Ste 275
Clackamas, OR 97015-6801
Phone
(831) 594-5225
NPI assigned
Mar 2, 2007
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 40267 CA Primary

Addresses

Primary practice location

9123 SE Saint Helens St Ste 275
Clackamas, OR 97015-6801

Mailing address

PO Box 2134
Lake Oswego, OR 97035-0643
Phone (831) 594-5225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
40267CAMDLicensed Psychiatric Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways CurrentSince Jan 19, 2025 Accepting new patients

Locations

9123 SE Saint Helens St
Ste 275
Clackamas, OR 97015
Phone (503) 449-5164

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1720117211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2134",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970350643",
            "telephone_number": "831-594-5225",
            "fax_number": "831-594-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9123 SE SAINT HELENS ST STE 275",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970156801",
            "telephone_number": "831-594-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAGON",
        "first_name": "EYDIE",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "M.S., LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "40267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.